Exploring Ethnic Differences in Caregiver Perceptions of the Quality of Children’s Mental Health Care

Johnson, Melissa H.; McNeish, Roxann; Vargo, Amy C.

doi:10.1007/s10826-020-01750-0

Cited by 4 publications

(1 citation statement)

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“…These negative attitudes towards care and fear of stigma are related to reduced help-seeking activities [32]. Johnson et al [33] showed that parents with minority backgrounds in the USA experience greater barriers to mental health care, e.g. transportation to the care facility, and also rate the quality of care lower.…”

Section: Discussionmentioning

confidence: 99%

Teacher-reported emotional and behavioural problems and ethnic background associated with children’s psychosocial care use: a longitudinal population-based study

Eijgermans

Raat

Jansen

et al. 2022

Eur Child Adolesc Psychiatry

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Approximately, 15% of children in Western countries suffer from emotional and behavioural problems. However, not all children receive the psychosocial care they need, especially children with a non-Western background experience an unmet need for care. This might be because parents of non-Western children report a lower need for care than parents of Western children, unrelated to the actual need. This study examined the association between teacher-reported problems and psychosocial care use, independent of mother-reported problems. Further, the role of ethnic background in this association was investigated. The study sample of 9-year-old children was retrieved from the Generation R Study (N = 3084), a prospective, population-based cohort of children born in Rotterdam, the Netherlands. Teacher- and mother-reported problems were measured via questionnaire when the children were 6/7 years old. Psychosocial care use was mother-reported at the research centre when children were 9 years old (8.1%). Hierarchical logistic regressions showed significant positive associations between teacher-reported total, externalising and internalising problems and later psychosocial care use. These associations were independent of mother-reported problems. Children with a non-Western background used less care, but ethnic background did not moderate the association between teacher-reported problems and care use. Our findings suggest that teachers might have an important role, next to parents, in the identification of problems and children’s access to care. This may be particularly important for non-Western children, as they use less psychosocial care than Western children, despite other research showing that they generally display higher levels of problems. Directions for future research and implications are discussed.

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Section: Discussionmentioning

confidence: 99%